IJMPD | Wound dehiscence in surgical procedures and its relationship to increased mortality (a cross-sectional study)

Indexing and Abstracting

Wound dehiscence in surgical procedures and its relationship to increased mortality (a cross-sectional study)

Dr. Ashraf Sami Muhammad , Dr. Ali Ramzi Naji , Dr. Ibrahim Mustafa Siddik

International Journal of Medical, Pharmacy and Drug Research(IJMPD), Vol-6,Issue-6, November - December 2022, Pages 43-50 , 10.22161/ijmpd.6.6.6

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Article Info: Received: 12 Nov 2022; Received in revised form: 01 Dec 2022; Accepted: 05 Dec 2022; Available online: 30 Dec 2022

Abstract:

This study aims to determine outcomes for Wound dehiscence in surgical procedures and its relationship to increased mortality. Twenty-five patients were collected from different hospitals in Iraq with intestinal obstruction, and they were distributed into two groups according to gender (15 males, ten females), and the average age ranged between 25-50 years. This retrospective study included those patients who were after bowel surgery at different hospitals in Iraq between January 6, 2020, and May 27, 2021, where information was obtained by reviewing clinical records.The statistical analysis program IBM SPSS SOFT 18 was also relied upon for the purpose of knowing the true value and standard regression in addition to the percentage of healthy variables to patients. Microsoft Excel 2013 was used for the purpose of describing and analysing demographic data. the results which found of this study collected 25 patients, and MEAN VALUE with slandered div of age patients was 39.4800 ± 6.8, and the type of anaesthesia used in this study was general anaesthesia. Causes of the bowel surgery according to the sex of the patients were (Mesenteric Ischaemia for one female patient and three male patients and Blunt trauma was one patient for both sexes. Bowel surgery, according to emergency basis and elective basis, was the emergency basis for 19 patients and elective for six patients. Association between Surgery * sex * presence of leaks Cross-tabulation were nine patients for an emergency basis and one patient for Elective. In this study, the mortality rate was higher for males than for females (1.4 patients), respectively and we concluded that there is a statistical relationship between the death rate and its prevalence among men

Keywords:

Wound, Dehiscence, Surgical, Anastomosis, Anastomotic Leak.

References:

[1] Ellis H (2010) Applied anatomy of abdominal incisions. Br J Hosp Med (Lond) 71 (3): M36–M37. https://doi.org/10.12968/hmed. 2010.71.Sup3.46991
[2] Cox PJ, Ausobsky JR, Ellis H, Pollock AV (1986) Towards no incisional hernias: lateral paramedian versus midline incisions. J R Soc Med 79 (12):711–712
[3] Guillou PJ, Hall TJ, Donaldson DR, Broughton AC, Brennan TG (1980) Vertical abdominal incisions–a choice? Br J Surg 67 (6): 395–399
[4] Muysoms FE, Antoniou SA, Bury K, Campanelli G, Conze J, Cuccurullo D, de Beaux AC, Deerenberg EB, East B, Fortelny RH, Gillion JF, Henriksen NA, Israelsson L, Jairam A, Janes A, Jeekel J, Lopez-Cano M, Miserez M, Morales-Conde S, Sanders DL, Simons MP, Smietanski M, Venclauskas L, Berrevoet F, European Hernia S (2015) European Hernia Society guidelines on the closure of abdominal wall incisions. Hernia 19 (1):1–24. HTTPS:// doi.org/10.1007/s10029-014-1342-5
[5] Carlson MA (1997) Acute wound failure. Surg Clin North Am 77 (3):607–636
[6] Luijendijk RW, Jeekel J, Storm RK, Schutte PJ, Hop WC, Drogendijk AC, Huikeshoven FJ (1997) The low transverse Pfannenstiel incision and the prevalence of incisional hernia and nerve entrapment. Ann Surg 225 (4):365–369
[7] Rath AM, Attali P, Dumas JL, Goldlust D, Zhang J, Chevrel JP (1996) The abdominal linea alba: an anatomo-radiologic and biomechanical study. Surg Radiol Annat: SRA 18 (4):281–288
[8] Hautefeuille P. Gastrointestinal suturing: Apropos of 570 sutures performed over a 5-year period using a single-layer continuous technique. Chirurgie. 1976;102 (2):153–65.
[9] Burch JM, Franciose RJ, Moore EE, Biffl WL, Offner PJ. Single-Layer Continuous Versus Two-Layer Interrupted Intestinal Anastomosis. Ann Surg. 2000;231 (6):832– 837. Available from: https://dx.doi.org/10.1097/00000658- 200006000-00007.
[10] Garude K, Tandel C, Rao S, Shah NJ. Single Layered Intestinal Anastomosis: A Safe and Economic Technique. Indian J Surg. 2013;75 (4):290–293. Available from: https://dx.doi.org/10. 1007/s12262-012-0487-7.
[11] Khan R, Hameed F, Ahmed B, Dilawaiz M, Akram M. Intestinal anastomosis: comparative evaluation for safety, cost-effectiveness, morbidity, and complication of single versus double layer. Professional Med J. 2010;17 (2):232–266
[12] Askarpour S, Sarmast M, Peyvasteh M, Gholizadeh B. Comparision of single and double layer intestinal anastomosis in Ahwaz educational hospitals. Internet J Surg. 2005;23 (2):45–54.
[13] Waard D. Retinol may promote fluorouracil-suppressed healing of experimental intestinal anastomoses. Arch Surg; 130:1995– 2004.
[14] Katz S. Bacterial adherence to surgical sutures. A possible factor in suture induces infection. Ann Surg. 1981; 194:35–35.
[15] Murphy JB. Cholecyst-intestinal, Gastrointestinal, Enterointestinal anastomosis, and approximation without sutures. Med Rec. 2017; 42:665–71.
[16] SCRCR.https://www.cancercentrum.se/samverkan/cancerdiagnoser/tjocktarm-andtarm-och-anal/tjock%2D%2Dochandtarm/kvalitetsregister/
[17] Moberger P, Skoldberg F, Birgisson H (2018) Evaluation of the Swedish Colorectal Cancer Registry: an overview of completeness, timeliness, comparability, and validity. Acta Oncol (Stockholm, Sweden) 57 (12):1611–1621. https://doi.org/10.1080/0284186x. 2018.1529425
[18] National Patient registry. https://www.socialstyrelsen.se/register/halsodataregister/patientregistret/inenglish
[19] Ludvigsson JF, Andersson E, Ekbom A, Feychting M, Kim JL, Reuterwall C, Heurgren M, Olausson PO (2011) External review and validation of the Swedish national inpatient register. BMC Public Health 11:450. https://doi.org/10.1186/1471-2458-11-450
[20] Orcutt ST, Balentine CJ, Marshall CL, Robinson CN, Anaya DA, Artinyan A, Awad SS, Berger DH, Albo D (2012) Use of a Pfannenstiel incision in minimally invasive colorectal cancer surgery is associated with a lower risk of wound complications. Tech Coloproctol 16 (2):127–132. https://doi.org/10.1007/s10151-012- 0808-7.